| NPI | 1750404125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED W. RUMINSON Owner 916-941-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45317) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-12-10 |